Claim total
$9,215.41
base $93.39 · payer covered $9,215.41
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 1995-11-24
- Stop
- 1995-11-24
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Criselda Bartell
Record id
062f00f9-5db0-55c4-c54d-d789579e3fd9